Request an Appointment

If you are having an ocular emergency, please call our office immediately. If outside business hours, then go to the emergency department of the Royal Inland Hospital.

To request your next appointment, please complete the form below and let us know the most convenient time and date for you. Please don't forget to include accurate contact details so we can follow up with you to finalize your request.

Reason for Appointment

Appointment requests are sent to your practitioner using regular email so please do not enter confidential information.

Preferred Dates & Times*
Check our office hours
Patient Type*
New Patient
Returning Patient

First Name*
Last Name*
Best Time to Be Reached for Confirmation*